Tzerefos Christos, Paterakis Kostas, Bouramas Dimos, Fotakopoulos George, Brotis Alexandros, Fountas Kostas
Neurosurgery, General University Hospital of Larissa, Larissa, GRC.
Neurosurgery, Athens Bioclinic Hospital, Athens, GRC.
Cureus. 2022 Oct 27;14(10):e30744. doi: 10.7759/cureus.30744. eCollection 2022 Oct.
Pseudomeningocele (PMC) is a rare complication of anterior cervical procedures resulting in pain, headaches, nerve root entrapment, and in rare cases, spinal cord compression. Here we present a 57-year-old male with increasing myelopathy due to late-onset PMC that developed two years following a 360-degree cervical surgery for ossification of the posterior longitudinal ligament (OPLL). In this case, the PMC was successfully treated with a lumboperitoneal shunt. A 57-year-old male presented with worsening symptoms and signs of cervical myelopathy. He had undergone a multilevel anterior corpectomy/fusion (ACCF), along with posterior fusion, two years earlier for severe ossification of the posterior longitudinal ligament (OPLL). Now presenting with increased myelopathy, his cervical spine MRI demonstrated a PMC in the perivertebral space, extending to and compressing the anterior cervical cord. Following a lumboperitoneal shunt insertion, the patient's myelopathy resolved. Acute, subacute, or chronic postoperative cervical pseudomeningoceles (PMC) may be readily managed with a lumboperitoneal shunt insertion.
假性脑脊膜膨出（PMC）是颈椎前路手术罕见的并发症，可导致疼痛、头痛、神经根受压，在极少数情况下还会导致脊髓受压。本文报告一例57岁男性患者，因迟发性PMC导致脊髓病进展，该患者在接受360度颈椎后路纵韧带骨化症（OPLL）手术后两年出现PMC。在此病例中，通过腰大池-腹腔分流术成功治疗了PMC。一名57岁男性患者出现颈椎脊髓病症状和体征加重。两年前，他因严重的后纵韧带骨化症（OPLL）接受了多节段前路椎体次全切除/融合术（ACCF）及后路融合术。现因脊髓病加重就诊，颈椎MRI显示椎间隙有假性脑脊膜膨出，延伸至并压迫颈前脊髓。在插入腰大池-腹腔分流管后，患者的脊髓病得到缓解。急性、亚急性或慢性术后颈椎假性脑脊膜膨出（PMC）可通过插入腰大池-腹腔分流管轻松处理。
